=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851567812
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INNOVATIVE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2008
-----------------------------------------------------
Last Update Date | 11/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 AIRPARK DR STE 60
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14624-5716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-328-2050
-----------------------------------------------------
Fax | 585-328-2058
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7506 STATE ROUTE 5
-----------------------------------------------------
City | CLINTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13323-3654
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-423-9580
-----------------------------------------------------
Fax | 315-853-6087
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | MR. EDWARD P KRAMM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 913-515-6719
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336H0001X
-----------------------------------------------------
Taxonomy Name | Home Infusion Therapy Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------